Ejection Fraction: What Does an 85% EF Mean for Heart Health? - Cardiology

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Ejection Fraction (EF) is a critical measurement in assessing heart function, particularly the left ventricle's ability to pump blood. It is expressed as a percentage and indicates the volume of blood ejected from the ventricle with each heartbeat relative to its total volume. A normal EF typically ranges from 50% to 70%. An EF of 85%, as noted in your report, is indeed higher than the normal range and can raise some concerns.

While a high EF might initially seem favorable, it can indicate underlying issues. In your case, the report also mentions diastolic dysfunction, which refers to the heart's inability to fill properly during the diastolic phase. This condition can occur due to stiffening of the heart muscle, often seen in aging or conditions like hypertension or diabetes. The presence of diastolic dysfunction alongside a high EF suggests that while the heart is effectively pumping out blood, it may not be filling adequately, which can lead to symptoms of heart failure over time.

The report also indicates mild tricuspid regurgitation (TR) and trivial mitral regurgitation (MR). These conditions, while often benign, can contribute to the overall assessment of heart function. Mild TR can be a normal finding, especially in younger individuals, but it should be monitored to ensure it does not progress.

Given the complexity of heart function and the nuances of your report, it is prudent to follow your doctor's recommendation for further testing, such as an exercise echocardiogram. This test can help assess how well your heart performs under stress and can provide additional insights into potential coronary artery disease (CAD). CAD can sometimes present with normal resting EF but may reveal issues during exertion.

If you are concerned about the accuracy of the EF measurement or the implications of your findings, seeking a second opinion or additional imaging at another facility can be beneficial. It's essential to have a comprehensive understanding of your heart health, especially if you experience symptoms like shortness of breath, fatigue, or chest discomfort.

In summary, while an EF of 85% is higher than normal, it is crucial to consider it in the context of other findings, such as diastolic dysfunction and valvular issues. Continuous monitoring and further evaluation are recommended to ensure that any potential heart issues are addressed promptly. Always discuss your concerns and symptoms with your healthcare provider, as they can guide you through the necessary steps for your heart health.